NPI | 1215176698 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK MYERS Licensed Clinical Social Worker 847-263-1269 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006053) |
Enumeration Date | 2009-02-09 |
Last Update Date | 2009-02-09 |